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Cushing syndrome



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No. 10
from junglern
Old Jul 19, 2005, 02:10 PM

Thumbs up Thanks!
Originally Posted by rn_chickey
Cushings Patho:

Increased cortisol -> Increased gluconeogenisis -> hyperglycemia

Increased aldosterone -> sodium and water retention, potassium loss

Addison's patho:

decreased cortisol -> decreased gluconeogenesis -> hypoglycemia

decreased aldosterone -> sodium and water loss, potassium retention

This is from my school notes...hope it helps

Chickey
Like a miracle by the first time, i really understand those pathos, thank you so much!

I am taking my exam on the 29 8 am in Ny, i am driving myself crazy and with hight anxiety levels, looking in how many things that i don't feel totally ok .

Any tips!

Thanks again.

Ulices.
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No. 11
from dinogwapo
Old Jul 03, 2009, 04:11 PM

Default Re: Cushing syndrome
Originally Posted by Woman_in_love View Post
Its CD from the book Saunder's "Comprehensive review for the NCLEX-RN" examination" by L.A.Silvestri.
I like this book but i guess as a human beings they do mistakes sometimes.
There was a question like this
What would you expect in client with Cushing syndrome.
1)Glucose 110 mg/dl
2) White cells-6000
3)Platelets-200000
4)Potassium-5.5

I answered the glucose thing and CD answer was potassium-5.5

we have the same problem

what I know in Cushing and Addison's is the 3 S (Salt, Sugar, Sex)

in Cushing everything is increased: HyperNatremia, Hyperglycemia, Increase in Sex Hormones therefore potassium and calcium becomes low. That is why You decrease Salt in the diet and you increase your potassium.

in Addison's everything is low so: Hyponatremia, Hyperglycemia and decrease in Sex Hormones.. so potassium and calcium becomes high.

im pretty sure the question is wrong
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No. 12
from xtian0143
Old Jul 04, 2009, 06:07 AM

Default Re: Cushing syndrome
can you post the books rationale on the answer.
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